Prostatitis is an inflammation of the prostate, accompanied by impaired sexual function, urination disorder.It is diagnosed based on prostatic juice Bakposev data, clinical blood test and pelvic organs.Prostatitis pills destroy pathogenic flora in the prostate gland, restore the passage of the urine and stop the pain.Conservative therapy includes drugs of different actions - antibiotics, muscle relaxants, painkillers and antipassia.
Complex approach to treatment
With uncomplicated prostatitis, they resort to conservative treatment.The basis of therapy are two types of medicines:
- Ethyotropic (antibiotics, antiviral, antimicotic agents) - destroy the causative agent of infection;
- Symptomatic analgesics (non -narcotics, muscle relaxants, anti -histamines) -interrupt symptoms or reduce their severity.
In the case of chronic inflammation, prostate massage and physiotherapeutic procedures are prescribed - laser therapy, magnetotherapy, transreral microwave thermotherapy.
Types of Drugs Used
Prostatitis tablets are prescribed by a doctor-airologist.With non -complicated inflammation of the prostate gland, it is treated on an outpatient base.The therapy includes medicines from various pharmacological groups:
- anti-bacterial;
- antispasmodic;
- painkillers;
- Vasodilator;
- sedatives;
- Immunostimulator.
The choice of medicines is affected by the severity of the clinical picture, the type of pathogen, the presence of complications.With prostatitis against the bottom cloth of urethritis or cystitis, uroseptic is additionally used - antimicrobials that eliminate infection in all parts of the urinary system.
Before prescribing the medicines, the andrologist performs an examination, during which prostatitis is distinguished from diseases with similar symptoms - bladder neck cancer, adenoma and prostate carcinomas.
Antibiotics
In 8 in 10 cases, inflammation of the gland is caused by pathogenic bacteria.Therefore, with prostatitis, antimicrobial drugs are prescribed in men.They prefer antibiotics that can penetrate glandular tissues and create high concentrations in them.
Recommended medicines:
- macrolides;
- fluoroquinolones;
- Tetracyclines.
The first improvements are remarkable 2-3 days after starting therapy.But to certainly destroy the pathogenic flora in the genitourinary system, antibiotics take at least 4 weeks in a row.
In chronic prostatitis, drugs are not prescribed that accumulate poorly in the tissues of the prostate gland.Therefore, aminoglycosides are never used for treatment.
The therapeutic effect of most antimicrobial drugs depends on dosage.In the treatment of acute inflammation, it is very important to take pills at a dose required for a bactericidal effect.
Anti -inflammatory and painkillers
Non -esteroids (NSAIDs) anti -inflammatory drugs are the best drugs for pain and inflammation in the genitourinary system.Most of the means of this group inhibit the production of a special enzyme (cyclooxygenase), which causes inflammatory reactions.
Acute prostatitis causes intense pain in the pelvic and perineum area.
Licking inflammation increases the risk of hyperplasia and prostate adenoma.Therefore, patients with chronic prostatitis are additionally prescribed medications that prevent gland tissue growth.
Alpha-blocker
Prostatitis is accompanied by inflammation and an increase in the gland, due to which the urethra is compressed.As a result, urination disorders - slow and incomplete bladder, pain, pain.Alpha blockers are used to restore urine passage.They relax the plain muscles, which expand the inner diameter of the urethra and the bladder neck.
The medicines of this group expand venous and arterial vessels, lower blood pressure.
Alpha blockers can be attributed to the group of urodynamic correactors.They do not eliminate the cause of the disease, but facilitate urination.The effect is observed 1-2 weeks after the beginning of therapy.
Sedatives
For treatment in men, prostatitis is often used sedatives.The disease negatively affects quality of life, causing urination problems, erectile dysfunction.This becomes the cause of neuropsychiatric disorders - emotional lability, depressive state, neurosis.
To improve the psycho -emotional state, medicines are used that:
- normalize the functioning of the nervous system;
- relieve irritability;
- improve sleep;
- Increase stress resistance.
Sedative medications increase the effect of antipsychotics and tranquilizers.Therefore, before taking pills, you need to consult a doctor.
Muselaxantes
With recurring prostatitis, muscle relaxants are prescribed - medicines that have a relaxing effect on the smooth muscles.They eliminate bladder tension, the urethral channel.To achieve the maximum relaxing effect, they are used in combination with NSAIDs.Rusorelaxants reduce the concentration of non -narcotic painkillers, which prevents irritation of the gastrointestinal mucosa.
Muscle relaxing preparations are used exclusively with high muscle tone, duct spasm or urinary blisters.An overdose is full of nausea, muscle pain, inhibition of breathing.
The muslaxantes are contraindicated in a first ulcer of the first intestine, psychoses, epilepsy and Parkinson's disease.
Restoring blood flow
To cure the prostate, it is necessary to improve blood supply to the pelvic organs.With blood flow, the organs receive nutrients, which stimulates metabolism and the regeneration of damaged tissues.Systematic ingestion of medications prevents congestion, edema and compression of the urethral canal.
For the treatment of the gland, medicines are prescribed with the following properties:
- Vasodilator - Increase the diameter of the blood capillaries and the blood flow to the pelvic organs;
- AngioProtector - Increase the density of the vascular walls, avoid swelling;
- Antiplatelet - Avoid platelet collage.
Preparations to restore blood flow in the pelvis are used to treat men with slow prostatitis.
Medicines are used exclusively in complex therapy.To avoid irritation of the gastric mucosa, tablets are taken after eating.
Immunomodulators
It is recommended to treat prostatitis with medications that stimulate the operation of the immune system.They increase resistance to infections, which reduces the likelihood of exacerbations.
Indications for the reception of immunomodulators:
- recurrent prostatitis;
- Vitamin-mineral insufficiency;
- Secondary immunodeficiency;
- Chronic bacterial inflammation.
With premature refusal to treat body resistance, infections are reduced.For this reason, the probability of a relapse of prostatitis increases.
To achieve the desired therapeutic effect, immunomodulators are performed in courses for 2-8 weeks.
Phytotherapeutic drugs
Preparations based on components of plant and animal origin do not increase the drug in the body.They are well tolerated, do not cause serious side effects.
Natural medications are suitable for the treatment of prostatitis and other urological pathologies, such as adenoma or gland hyperplasia.
Preparations based on medicinal herbs usually cause allergic and urticaria reactions.Therefore, with hypersensitivity to components, it is better not to be treated with mea.
Vitamins
Vitamin-mineral deficiency is one of the most common relapse causes of bacterial infection in the genitourinary system.To strengthen immunity, the lack of nutrients is replenished.Therefore, with prostatitis, vitaminized agents are prescribed.
Tablets with various bioactive components replenish vitamins.Because of this, metabolism is accelerated, cellular immunity is strengthened.
Polytamines are recommended to be taken to prevent prostatitis exacerbations twice a year - in autumn and spring.They reduce the risk of hypovitaminosis, colds and metabolic disorders.
The danger of self -mate
Prostatitis is a urological disease that usually enters a chronic course.Therefore, it is not strictly recommended to take medications without prescribing a doctor.Self -duty is full of disturbances in the work of the urinary and reproductive system.Irrational therapy is dangerous:
- chronic prostatitis;
- Erectile dysfunction;
- Acute urinary retention;
- Urolithiasis;
- infertility;
- SUPPATION IN PROSTATE;
- narrowing the urethra.
Incorrectly selected antibiotics do not destroy the infection, which causes purulent inflammation of the gland.Prostate abscess is an indication for surgical intervention.
Prostatitis is a male disease, inflammation of the prostate.With timely and appropriate treatment, therapy is good.But in the case of a transition to a chronic form, it often causes complications.Therefore, in the first signs of prostatitis - difficulty urinating, perineum pain, blood in the urine - you need to contact a urologist or andrologist.